Mississippi Health Insurance


Mississippi (MS)

Individual Health Insurance Regulations

Medical insurance is essential to protect your family's health against unpredicted events of sickness or injury. Before opting for health coverage, you should go through your family's medical needs and your budget. Being a Mississippi resident, you can choose from various product alternatives. The Mississippi Insurance Department supervises the legislature under which the Mississippi health insurers can sell private health plans to individuals and families.
Mississippi is not a guarantee issue state, which means that insurance carriers medically underwrite individual policies. During the application process, the insurance carrier will obtain information regarding your past and present health history. Based on this information, the insurance carrier may approve the application and provide coverage under the terms of the health plan, approve the application with specific limitations or exclusions or deny coverage altogether. Limitations and exclusions may be sought under the 12 months look back, 12-month exclusionary period which is provided to all carriers when determining coverage of pre-existing medical conditions. Elimination riders are also permitted to be incorporated into the policy. Elimination riders allow the carrier to temporarily or permanently exclude coverage for a specific medical condition. Under Mississippi law, insurance carriers are not required to give credit for prior creditable coverage. There are no rate caps on individual premiums and the premium you are charged can be determined by age, gender, health status geographical location of residence and the type of plan you choose.
Search for plans and the costs associated with them using the search box above. We provide individual, family, group and student health plan quotes for you to compare on all states and zip codes. Remember that having coverage leads to a healthier lifestyle as you are able to get regular doctor checkups and therefore a low-cost premium.


Mississippi (MS)

Small Group Health Insurance Regulations

Mississippi defines a small group as any company with 1 - 50 employees. Small group medical insurance is issued on a guarantee issue basis implying no group can be declined coverage or turned away due to their health status. Employers require employees to endure a waiting period prior to be allowed to become eligible to join the employer sponsored health plan. Once the waiting period has been fulfilled, you will have become eligible to join the group health plan and need to complete an application for the insurance carrier. The insurance carrier may then, or at some time in the future, exercise their right to a 6 month look back, 12-month exclusionary period on each applicant who does not have prior creditable coverage. The maximum exclusionary period for a pre-existing condition for an individual with no prior creditable coverage would be 12 months. Mississippi provides for group rates to be medically underwritten. Rating factors may, amongst other things, include geographic location, type of industry and number of plan members. Based on these factors and the overall health status of the group, insurance companies can modify the standard rate by 25%. Insurance companies must also offer guaranteed issue coverage to self-employed groups of one person. In addition, insurers are required to guarantee issue small group plans to the self-employed, except those covered by, or eligible for coverage under, a health benefit plan offered by an employer.


Mississippi COBRA and Continuation Coverage

Employers with more than 20 employees are regulated by federal COBRA laws. Federal COBRA laws provide that, and employee may remain on the employer-sponsored health plan and eligible to receive the same level of coverage for a period of 18 months. The sole responsibility for payment of the entire premium lies with the employee. In addition, a 2% administration fee will be added to the monthly premium.
Mississippi offers mini-cobra option, under the law of Insurance Code 83-9-51 of 1972, to individuals who are leaving a group plan with fewer than 20 members and are not federally eligible for COBRA. Terminated employees may be able to continue coverage under their group plan for up to 12 months, following a 3-month waiting period.
For persons that have exhausted their COBRA benefits, or meet federal HIPAA guidelines, the Mississippi Comprehensive Health Insurance Risk Pool Association will provide guarantee issue coverage on an individual health plan